Dr Eden Jaochico Dental Services Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR EDEN JAOCHICO DENTAL SERVICES INC

Practice address

345 Gellert Blvd.
Ste. R
Daly City, CA 94015

Phone

(650) 757-8006

Fax

(650) 757-8009

NPI assigned

Aug 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Redencion Uyan Jaochico, D.M.D.

Title

Ceo

Phone

(650) 757-8006

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1598772899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GELLERT BLVD.",
            "address_2": "STE. R",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-757-8006",
            "fax_number": "650-757-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 GELLERT BLVD.",
            "address_2": "STE. R",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-757-8006",
            "fax_number": "650-757-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDEN JAOCHICO DENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "JAOCHICO",
        "authorized_official_first_name": "REDENCION",
        "authorized_official_middle_name": "UYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-757-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42159",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Daly City, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.